Impact of ERAS approach and minimally-invasive techniques on outcome of patients undergoing liver surgery for hepatocellular carcinoma

Safety and efficacy of enhanced recovery after surgery (ERAS) programs in patients undergoing hepatectomy: A prospective randomized controlled trial

“…The combined anesthesia can reduce surgical stress and relieve postoperation pain very well . The minimally invasive surgery can reduce surgical trauma, but the good exposure of the surgical field and accurate completion of the surgical procedure should be considered first . Anatomical hepatectomy should be used which can help to clear the lesion thoroughly, reduce surgical bleeding, remain the maximum liver volume and relief surgical stress response.…”

“…31,32 The minimally invasive surgery can reduce surgical trauma, but the good exposure of the surgical field and accurate completion of the surgical procedure should be considered first. 33…”

Surrogate indicators of quality are associated with survival following surgical treatment for hepatocellular carcinoma

“…In addition, it is possible that hospitals with a shorter LOS, particularly within the more recent time period, have a higher proportion of patients undergoing laparoscopic liver resection and/or that those hospitals have adopted an enhanced recovery pathway for liver resection patients. Both laparoscopy and enhanced recovery have been associated with reduced complications and shorter LOS . It is unclear if these specific hospital traits are related to volume alone, other factors or a combination thereof.…”

“…Both laparoscopy and enhanced recovery have been associated with reduced complications and shorter LOS. [31][32][33][34] It is unclear if these specific hospital traits are related to volume alone, other factors or a combination thereof.…”

Safety of minimally invasive liver resections during live surgery: a propensity score based assessment

“…[1][2][3] A good profile of safety has been achieved thanks to surgical technical innovations and optimized anesthesiological management, elements themselves which enabled its diffusion. 4,5 Nowadays, indeed, a program of MILS is mandatory in hepatobiliary centers and in institutions performing advanced laparoscopic surgery. 6 Furthermore, the introduction of new technologies and the enrollment of cases of increasing complexity lead laparoscopic liver surgery to become a highly specialized branch, requiring specific and dedicated knowledge.…”